scholarly journals Znacaj laparoskopije u proceni tupe abdominalne traume

2010 ◽  
Vol 57 (4) ◽  
pp. 33-38 ◽  
Author(s):  
Pavle Gregoric ◽  
Djordje Bajec ◽  
Dejan Radenkovic ◽  
Ana Sijacki ◽  
Aleksandar Karamarkovic ◽  
...  
Keyword(s):  
Abdominal Cavity ◽  
Patient Positioning ◽  
Diagnostic Procedures ◽  
Definitive Diagnosis ◽  
Laparoscopic Technique ◽  
Abdominal Organs

Laparoscopic diagnostics provides fast, reliable, clear, and obvious information on extent and depth of abdominal organs injury with minimizing additional trauma to the patient. It is performed without any specific preparations and, if needed, it may be promptly converted into conventional laparotomy. Through use of optical equipment with various refraction angles and through variable patient positioning, laparoscopic technique enables visualization of whole abdominal cavity. In approximately 20% of cases of unclear findings, and after other performed diagnostic procedures, laparoscopy provides definitive diagnosis. Abdominal surgeons are familiar with this method, making interpretation of the results very fast and reliable and, what is the most important, this method avoids additional trauma caused by conventional laparotomy.

scholarly journals Acute abdomen due to spilled gallstones: a diagnostic dilemma 10 years after laparoscopic cholecystectomy

2020 ◽  
Vol 2020 (8) ◽  
Author(s):  
Mehmet Tolga Kafadar ◽  
İsmail Çetinkaya ◽  
Ulaş Aday ◽  
Ömer Başol ◽  
Hüseyin Bilge
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Acute Abdomen ◽  
Abdominal Cavity ◽  
Correct Diagnosis ◽  
Significant Risk ◽  
Definitive Diagnosis ◽  
Laparoscopic Technique ◽  
Gallbladder Perforation ◽  
Diagnostic Dilemma

Abstract Laparoscopic cholecystectomy (LC) carries a significant risk of gallbladder perforation and resulting scattering of bile stones into the abdominal cavity. The retrieval of the spilled stones is not always possible by laparoscopic technique. Most cases do not create long-term problems, although some cases may be complicated in future and create uncertainties regarding the correct diagnosis. Diagnosis can be difficult, and in most cases the patient may require open surgery for management of these complications. Herein, we report a case of acute abdomen due to spilled stones occurring 10 years after LC. In the first stage, definitive diagnosis could not be made with computed tomography examination. Finally, the patient was diagnosed with explorative laparotomy.

Video laparoscopic diagnostics and surgical tactics for acute diseases of abdominal organs

2021 ◽  
pp. 17-24
Author(s):  
A. S. Ermolov ◽  
V. T. Samsonov ◽  
P. A. Yartsev ◽  
A. A. Gulyaev
Keyword(s):  
Clinical Diagnosis ◽  
Definitive Diagnosis ◽  
Concomitant Disease ◽  
Group Iii ◽  
Abdominal Organs ◽  
Group I ◽  
Number Of Patients ◽  
Video Laparoscopy ◽  
Surgical Tactics ◽  
Diagnosis Of Diseases

The article presents the results of video laparoscopy (VLS) performed in 2008–2019 in 5,599 patients in order to diagnose acute diseases of the abdominal organs requiring emergency surgery, identify competing and concomitant diseases, and determine treatment tactics. 2,442 (43.6 %) of them made up group I, with no doubt; 2,656 (47.4 %) – II group, with presumptive reliability; and 501 (9.0 %) – group III, with an unclear clinical diagnosis of the disease. In 2,326 (95.2 %) patients of group I with VLS, the clinical diagnosis was confirmed, in 100 (4.1 %) other diseases were revealed, and in 16 (0.7 %) the diagnosis was not established. Competing diseases were found in 8 patients and concomitant diseases in 4. In 1,641 (61.8 %) patients of group II, VLS made it possible to clarify and differentiate the clinical diagnosis of diseases, in 929 (35.0 %) – to identify other diseases, and in 86 (3.2 %) the diagnosis was not possible. When performing differential diagnosis, 126 other diseases were identified more than the number of patients. Competing diseases were found in 6 patients and concomitant diseases in 6 patients. 356 (71.0 %) patients of group III with VLS were diagnosed with major diseases, 75 (15.0 %) had other diseases, and 70 (14.0 %) were not diagnosed. In 4 patients, competing diseases were found, and in 1 – concomitant disease. Of the 5,427 (96.9 %) patients with the definitive diagnosis of the disease established with VLS, 3,828 (70.5 %) were found to be able to perform VLS operations, in 10 (0.3 %) of them – simultaneous with competing diseases.

scholarly journals Presacral schwannoma. Case description

2015 ◽  
Vol 84 (4) ◽  
pp. 264-270
Author(s):  
Roman Jankowski ◽  
Jeremi Kościński ◽  
Bartosz Sokół ◽  
Stanisław Malinger ◽  
Janusz Szymaś
Keyword(s):  
Mr Imaging ◽  
Vertebral Column ◽  
Abdominal Cavity ◽  
Diagnostic Procedures ◽  
Precise Location ◽  
Pelvic Organs ◽  
Gynecological Examination ◽  
Giant Schwannoma ◽  
Vascular Structures ◽  
Anatomic Region

Schwannomas in the presacral region of vertebral column occur sporadically and are usually diagnosed incidentally during diagnostic procedures applied as a response to nonspecific complaints associated with vertebral column or abdominal cavity. This study focuses not only on the presentation of the case of the patient with giant schwannoma in the retrorectal area, but on the highlighting of the problems associated with diagnosis and treatment of tumours located in this anatomic region as well. The presented case involves a 23-year old woman. The diagnosis of the disease was made during gynecological examination accompanied by ultrasonography of pelvic organs. Neurological examination disclosed no deviations from the normal condition. MR imaging allowed to determine precise location of the tumour and its anatomic relations to pelvic visceral and vascular structures. The patient underwent a successful surgery using laparotomy. Histological examination revealed structures of schwannoma. Surgical radicality and the lack of relapse were confirmed by MR imaging taken five years after the surgery.

scholarly journals Endometriosis as a Reason of Intraabdominal Bleeding in Pregnancy. Clinical Case

2019 ◽  
Vol 23 (3) ◽  
pp. 283-289
Author(s):  
Y. A. Revzoeva ◽  
E. Y. Shakurova
Keyword(s):  
Cesarean Section ◽  
Pregnant Women ◽  
Laboratory Tests ◽  
Clinical Case ◽  
Abdominal Cavity ◽  
Diagnostic Procedures ◽  
Reproductive Period ◽  
Diagnostic Methods ◽  
Dark Blood ◽  
Abdominal Bleeding

The article defines the significance and relevance of the problem of endometriosis during pregnancy. 10% of women in the reproductive period have different localization of endometriosis. 25% of pregnancies with endometriosis are complicated by preterm labor. The article presents a clinical case of intra-abdominal bleeding in a 28-year-old pregnant woman with retrocervical endometriosis at gestation age of 32 weeks and 6 days. The article covers the results of examination and special diagnostic procedures of intra-abdominal bleeding in pregnant women with retrocervical endometriosis. The main diagnostic methods were the study of past medical history, ultrasound examination, and laboratory tests. Due to their infrequency during pregnancy internal bleedings present difficulties in their diagnosis. Ultrasound reliably revealed a large amount of fluid in the abdominal cavity and small pelvis and excluded the presence of intrauterine bleeding. Clinical and laboratory tests indicated the severity of the patient's condition. Symptoms of moderate fetal distress were also identified. Therefore, a decision was made about an emergency delivery by the cesarean section followed by an abdominal revision. During the cesarean section, 500 ml of blood in the form of dark blood clots was found in the abdominal cavity. The condition of the premature newborn was in conformity with his gestational age. The source of bleeding were the of endometriosis on the back wall of the uterus. These focuses most likely caused hemoperitoneum. The revision of the abdominal cavity did not find any other foci of bleeding. The postoperative period was uneventful. The article provides general guidelines for the management of pregnant women with severe forms of endometriosis.

scholarly journals CLINICAL AND EPIDEMIOLOGICAL ANALYSIS OF MALIGNANT NEOPLASMS OF THE ABDOMINAL ORGANS

2021 ◽  
Vol 19 (4) ◽  
Author(s):  
I.A. Malishevsky
Keyword(s):  
Developmental Stages ◽  
Abdominal Cavity ◽  
Malignant Neoplasms ◽  
Newly Diagnosed ◽  
Epidemiological Analysis ◽  
Software Packages ◽  
Abdominal Organs ◽  
Microsoft Office ◽  
Epidemiological Characteristics ◽  
Epidemiological Parameters

Purpose – to determine the statistical and epidemiological parameters of malignantneoplasms of the abdominal cavity organs.Material and methods. The study was carried out on the basis of the Chernivtsi RegionalClinical Oncological Dispensary and covers observation materials during 2019 andstatistical reporting concerning 21259 patients with tumors of various localization. The calculation of indices was carried out using software packages MS Access and MS Excelbased on the Microsoft Office medium.Results. Neoplasms of the abdominal organs account for 32.4%-37.1% of the totalnumber of neoplasms of various localization. The distribution of patients with malignantdiseases of the abdominal organs by developmental stages is relatively uniform, despitesignificant differences in various localizations of neoplasmsConclusions. Malignant neoplasms of the abdominal organs account for 32.4%(registered) and 37.1% of the newly diagnosed of the total number of tumors of variouslocalization, indicating the importance of further research. A significant part of tumors ofthe abdominal cavity organs are diagnosed in the late (III-IV) stages of the pathologicalprocess development (up to 94.7% in the liver and intrahepatic biliary tract). Therevealed significant differences in clinical and epidemiological characteristics requirefurther research.

110 ASSISTED CONCEPTION IN THE FISHING CAT BY LAPAROSCOPIC INTRATUBAL INSEMINATION

2014 ◽  
Vol 26 (1) ◽  
pp. 169
Author(s):  
C. E. Pope ◽  
M. C. Gómez ◽  
A. Cole ◽  
B. L. Dresser
Keyword(s):  
Embryo Transfer ◽  
Abdominal Cavity ◽  
Elective Caesarean Section ◽  
Sperm Concentration ◽  
Left Ovary ◽  
Laparoscopic Technique ◽  
Positive Pressure ◽  
Thin Wall ◽  
Age Related ◽  
The Right

Fishing cats (Prionailurus viverrinus) are small (6–15 kg) spotted cats from dispersed areas of Southeast Asia found mostly in wetland habitats. They are classified by the International Union for Conservation of Nature (IUCN) as endangered, with a decreasing population, due to habitat loss and degradation. Few studies have been done on applying assisted breeding techniques to the species, although the birth of a live kitten after IVF/embryo transfer (ET) has been reported (2006 Theriogenology 66, 1518–1524). Here, we describe the birth of a live fishing cat kitten using the technique of laparoscopic intratubal AI. A ten-year-old female who had served previously as an oocyte donor (5×) following gonadotropin treatment was administered a total of 5 IU of porcine FSH (Sioux Biochemical, Sioux City, Iowa) over 4 days (1×/day) followed by 10 IU of porcine LH on the fifth day. At approximately 28 h after LH treatment, the ovaries/oviduct were accessed by a laparoscopic technique comparable to that used for oviducal embryo transfer (ibid.). To deposit semen into the left oviduct, a 16-guage thin-wall trocar/needle was inserted into the abdominal cavity on the right side, approximately 1 cm lateral to the midline and approximately 2 to 3 cm below the umbilicus. A 14-cm open-end tom cat catheter was inserted into the 16-guage cannula (blunt) and the catheter tip was positioned underneath the fimbria overlaying the ovary. Then, a 50-mm length of 30-guage polytetrafluoroethylene (PTFE) thin-wall tubing containing approximately 30 μL of freshly collected semen was threaded through the catheter and the sample was expelled with positive pressure from a threaded-plunger 1-mL syringe. The left ovary contained 7 to 8 preovulatory (3–4 mm) follicles, 4 of which were manually ruptured immediately after deposition of semen with a 22-guage needle inserted through the 16-guage cannula. Then, with the 16-guage trocar/cannula in the same position (on the right side), the tip was redirected towards the right ovary and approximately 30 μL of semen was deposited underneath the fimbria as described above. The right ovary presented with 5 to 6 preovulatory (3–4 mm) follicles, 2 of which were punctured with the 22-guage needle after insemination. No ovulations were present on either ovary. The semen used for insemination was a fresh sample collected by electroejaculation from a 9-year-old male. The raw sperm concentration was 220 million mL–1, with 70% motility. The number of motile sperm deposited per oviduct was estimated to be approximately 4.6 million. The female was anesthetized 51 days later and radiography was done to determine her pregnancy status. A single fetus was present, so she was moved from an outdoor pen into a large indoor holding pen to allow for video-monitoring during the remainder of gestation. On Day 70, early signs of labour were observed and an elective Caesarean section was done approximately 4 h later. A live, healthy male kitten weighing 204 g was delivered. One year later, gonadotropin treatment/AI were repeated on the same pair. At approximately 30 h post-LH treatment, preovulatory follicles were present, but fewer than the previous treatment (5–6 total). Two fresh ovulation sites were seen on the left ovary. Pregnancy was not established. A reason for the failure was not apparent, unless it was age related.

scholarly journals Limb Body Wall Complex: A Rare Anomaly

2018 ◽  
Vol 16 (2) ◽  
pp. 56-58
Author(s):  
Unan Sultana ◽  
Md Qumrul Ahsan
Keyword(s):  
Early Diagnosis ◽  
Abdominal Wall ◽  
Umbilical Cord ◽  
Early Pregnancy ◽  
Body Wall ◽  
Abdominal Cavity ◽  
Abdominal Wall Defects ◽  
Proper Management ◽  
Vascular Disruption ◽  
Abdominal Organs

Body stalk anomalies are a group of massively disfiguring abdominal wall defects in which the abdominal organs lie outside of the abdominal cavity in a sac of amnioperitoneum with absence of or very small umbilical cord. Various hypotheses proposed to explain the pathogenesis of limb body wall complex include early amnion disruptions, embryonic dysplasia, and vascular disruption in early pregnancy. Body stalk anomaly is an accepted fatal anomaly and, hence, its early diagnosis aids in proper management of the patient. We present a case of LBWC, exhibiting combined cranial, abdominal & limb features.Chatt Maa Shi Hosp Med Coll J; Vol.16 (2); July 2017; Page 56-58

Desmoid-type Fibromatosis of the Mesentery: A Case Report

2017 ◽  
Vol 10 (1) ◽  
pp. 58-62
Author(s):  
Tatyana M. Betova ◽  
Savelina L. Popovska ◽  
Radoslav G. Trifonov ◽  
Konstantina S. Karakadieva ◽  
Genoveva B. Valcheva ◽  
...  
Keyword(s):  
Case Report ◽  
Abdominal Wall ◽  
Multidisciplinary Approach ◽  
Abdominal Cavity ◽  
Metastatic Potential ◽  
Surgical Method ◽  
Anatomical Position ◽  
Abdominal Organs ◽  
Mesenchymal Neoplasm

SummaryDesmoid-type fibromatosis is a rare mesenchymal neoplasm with locally aggressive, infiltrating and destructive growth that is not characterized by a metastatic potential. According to their anatomical position, desmoid-type fibromatoses can be divided into three groups: extra-abdominal, intra-abdominal, and fibromatoses of the abdominal wall. Mesenteric fibromatoses account for 8% of the intra-abdominal ones. The latter are characterized by myofibroblastic proliferation and infiltration of both the pelvic and abdominal organs. We report a 26-year-old woman who complained of abdominal enlargement, feeling of heaviness, discomfort and reflux, which symptoms dated back 1-2 months prior to hospitalization. The patient underwent laparotomy due to subocclusive symptoms. Intraoperatively, a tumor sized 30 cm in diameter was found. The tumor originated from the mesentery and infiltrated in the jejunum, the entire ileum, and part of the caecum with perforation towards the abdominal cavity. The histological and immunohistochemical examinations are important for clarification of the diagnosis. The treatment requires a multidisciplinary approach, in which the surgical method has the key role.

General Management Principles of the Pregnant Woman

2017 ◽  
Vol 38 (02) ◽  
pp. 123-134
Author(s):  
Margaret Miller ◽  
Amanpreet Kaur
Keyword(s):  
Cardiopulmonary Arrest ◽  
Patient Positioning ◽  
Signs And Symptoms ◽  
Diagnostic Procedures ◽  
Pregnant Patient ◽  
Physiological Changes ◽  
Limited Data ◽  
Chest Compressions ◽  
General Management ◽  
In Pregnancy

AbstractPregnancy is a dynamic process that consists of profound physiological changes mediated by hormonal, mechanical, and circulatory pathways. Understanding of changes in physiology is essential for distinguishing abnormal and normal signs and symptoms in a pregnant patient. These physiological changes also have important pharmacotherapeutic considerations for a pregnant patient. Although there are limited data to guide decisions regarding medications and diagnostic procedures in pregnancy, a careful review of risks should be balanced with review of risk of withholding a medication or procedure. Interventional pulmonary procedures can be safely performed in pregnant women while keeping in mind the maternal anatomic and physiologic changes. Furthermore, management of a maternal cardiopulmonary arrest requires important modifications in patient positioning and intravenous access to ensure adequate efficacy of chest compressions, circulation, and airway management. This review will provide an overview of maternal physiologic changes with a focus on cardiopulmonary physiology, pharmacotherapeutic considerations, diagnostic and interventional pulmonary procedures during pregnancy, and cardiopulmonary resuscitation in pregnancy.

scholarly journals Adverse effects of tribromoethanol as used in the production of transgenic mice

1998 ◽  
Vol 32 (4) ◽  
pp. 407-413 ◽  
Author(s):  
Walter Zeller ◽  
Gabriele Meier ◽  
Kurt Bürki ◽  
Basile Panoussis
Keyword(s):  
Side Effects ◽  
Adverse Effects ◽  
Transgenic Mice ◽  
Embryo Transfer ◽  
Anaesthetic Agent ◽  
Histopathological Examination ◽  
Abdominal Cavity ◽  
Muscle Fibres ◽  
Abdominal Organs ◽  
Different Strains

Tribromoethanol is widely used as an anaesthetic agent for embryo-transfer surgery for the generation of transgenic mice. Potential side effects such as local irritation, fibrous adhesions in the abdominal cavity, and mortalities of unknown cause have been reported. Mice of three different strains (CD-1, OF-1, NMRI) received intraperitoneal injections of pentobarbiturate (60 mg/kg, 0.4%), tribromoethanol (240 mg/kg, 1.2%), tribromoethanol (450 mg/kg, 2.5%), ketamine/xylazine (120 mg/kg, 1.2%/16 mg/kg, 0.16%) or saline (NaCl, 0.9%). After 24 h the animals were sacrificed and blinded histopathological examination of abdominal organs was performed by light microscopy. Tribromoethanol caused focal to diffuse necrosis primarily of subperitoneal muscle fibres of the abdominal wall, and, occasionally, necrotic changes on the surface of abdominal organs. These changes were associated with acute peritoneal inflammation and fibrinous serositis of the abdominal organs. The severity of the findings increased with the concentration of tribromoethanol. The use of ketamine/xylazine yielded a comparable success rate in embryo transfer without undesirable side effects. Further use of tribromoethanol is not recommended.

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